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Ozanimod

Phase 3

Crohn Disease | Small molecule | Gastrointestinal |Bristol-Myers Squibb Company|Last Updated: Jun 11, 2026

Success Probability
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Market & Valuation
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment606
FDA Designations
No designations recorded
Clinical trial landscape

Ozanimod · 15 trials · 10 indications

Phase 3 5Phase 2 3Phase 1 7
NCT06408259Study to Evaluate the Effectiveness and Safety of Ozanimod Compared to Fingolimod in Children and Adolescents With Relapsing Remitting Multiple SclerosisMultiple Sclerosis, Relapsing-Remitting
RECRUITING194 Analytics
NCT03915769To Evaluate Efficacy and Long-term Safety of Ozanimod in Japanese Subjects With Moderately to Severely Active Ulcerative ColitisColitis, Ulcerative
COMPLETED198 Analytics
NCT03440385Induction Study #2 of Oral Ozanimod as Induction Therapy for Moderately to Severely Active Crohn's DiseaseCrohn Disease
COMPLETED606 Analytics
NCT02294058Study of Ozanimod (RPC1063) in Relapsing Multiple Sclerosis (MS)Multiple Sclerosis
COMPLETED1,346 Analytics
NCT02047734Efficacy and Safety Study of Ozanimod in Relapsing Multiple SclerosisRelapsing Multiple Sclerosis
COMPLETED1,320 Analytics
PHASE3RECRUITING
Study to Evaluate the Effectiveness and Safety of Ozanimod Compared to Fingolimod in Children and Adolescents With Relapsing Remitting Multiple Sclerosis
Multiple Sclerosis, Relapsing-RemittingUnlock trial analytics
PHASE3COMPLETED
To Evaluate Efficacy and Long-term Safety of Ozanimod in Japanese Subjects With Moderately to Severely Active Ulcerative Colitis
Colitis, UlcerativeUnlock trial analytics
PHASE3COMPLETED
Induction Study #2 of Oral Ozanimod as Induction Therapy for Moderately to Severely Active Crohn's Disease
Crohn DiseaseUnlock trial analytics
PHASE3COMPLETED
Study of Ozanimod (RPC1063) in Relapsing Multiple Sclerosis (MS)
Multiple SclerosisUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Ozanimod in Relapsing Multiple Sclerosis
Relapsing Multiple SclerosisUnlock trial analytics
Study Endpoints
Primary Endpoints
Annualized relapse rate (ARR)
Up to 2 years
Proportion of subjects with clinical response
At Week 12

Defined as a reduction from Baseline in the complete Mayo score of ≥ 3 points and ≥ 30%, and a reduction from Baseline in the rectal bleeding subscore of ≥ 1 point or an absolute rectal bleeding subscore of ≤ 1 point

Percentage of Participants With Crohn's Disease Activity Index (CDAI) Score < 150
Week 12

The CDAI is a composite score that is used to measure the clinical activity of Crohn's disease (CD). The CDAI uses a questionnaire with 8 disease activity variables: number of soft/liquid stools, severity of abdominal pain, general well-being, presence of complications, need for antidiarrheal drugs, presence of an abdominal mass, hematocrit, and deviation in body weight. The sub scores of number of soft/liquid stool, severity of abdominal pain (0 \[none\] to 3 \[Severe\]), general well-being (0 \[well\] to 4 \[terrible\] were summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.

Adjusted Annualized Relapse Rate (ARR) During the Treatment Period
12 months

The relapse rate was based on confirmed relapses. A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional system scale scores. Relapse rate was calculated as the total number of relapses divided by the total number of days in the study \* 365.25. ARR was adjusted for region (Eastern Europe vs rest of world), Baseline age, and Baseline number of gadolinium-enhancing lesions; the natural log transformation of time on study was included as an offset term.

Adjusted Annualized Relapse Rate (ARR) at the End of Month 24
At the end of month 24

A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional system scale scores. Relapse rate was calculated as the total number of confirmed relapses divided by the total number of days in the study \* 365.25. ARR was based on a Poisson regression model, adjusted for region (Eastern Europe vs Rest of the World), age, and the Baseline number of gadolinium-enhancing lesions, and included the natural log transformation of time on study as an offset term.

Proportion of participants who achieve clinical remission
At Week 52
Percentage of Participants Who Achieved Clinical Remission Based on the Central Read of the Mayo Score (MS), at Week 8
Week 8

Clinical Remission was defined as: Mayo score of \<2 points and with no individual subscore of \> 1 point. The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a scale of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease. * Stool Frequency Subscore (SFS) * Rectal bleeding Subscore (RBS) * Endoscopy Subscore * Physician's Global Assessment (PGA) Clinical Remission was based on the 4-component Mayo definition.

Total Number of Gadolinium-Enhancing (GdE) Lesions Assessed on Brain Magnetic Resonance Imaging (MRI) From Week 12 to Week 24
From Week 12 to Week 24; MRI was performed at Weeks 12, 16, 20, and 24

The cumulative number of total GdE lesions on MRI from Week 12 to Week 24. MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

Taste evaluation - Aromatic identity
Up to 6 months

Measured using the Flavor Profile method of descriptive sensory analysis

Taste evaluation - Amplitude
Up to 6 months

Measured using the Flavor Profile method of descriptive sensory analysis

Taste evaluation - Off-notes
Up to 6 months

Measured using the Flavor Profile method of descriptive sensory analysis

Taste evaluation - Aftertaste
Up to 6 months

Measured using the Flavor Profile method of descriptive sensory analysis

Pharmacokinetics - AUClast on Day 8 (Ozanimod, CC112273 and CC1084037)
Up to day 8

AUC from time zero to the last measured time point

Pharmacokinetics - AUC∞ on Day 8 (Ozanimod, CC112273 and CC1084037)
Up to day 8

Area under the plasma concentration-time curve from time zero extrapolated to infinity

Pharmacokinetics - Cmax on Day 8 (Ozanimod, CC112273 and CC1084037)
Up to day 8

Maximum observed plasma concentration

Pharmacokinetics - Cmin on Day 8 (Ozanimod, CC112273 and CC1084037)
Up to day 8

Minimum observed plasma concentration

Pharmacokinetics - AUCtau on Day 8 (Ozanimod, CC112273 and CC1084037)
Up to day 8

Area under the plasma concentration-time curve from time zero to dosing interval

Pharmacokinetic- Cmax (Ozanimod, CC112273, CC1084037)
Up to 14 days

Maximum observed plasma concentration

Pharmacokinetic- AUC∞(Ozanimod)
Up to 14 days

Area under the concentration-time curve from time 0 to infinity

Pharmacokinetic- AUClast (CC112273 and CC1084037)
Up to 14 days

Area under the concentration-time curve from time 0 to last quantifiable concentration

Pharmacokinetic - Cmax (Ozanimod, CC112273 and CC1084037)
14 days

Maximum observed plasma concentration within the dosing interval

Pharmacokinetic - Tmax (Ozanimod, CC112273 and CC1084037)
14 days

Time to Cmax

Pharmacokinetic - AUC∞ (Ozanimod)
14 days

Area under the concentration-time curve from time 0 to infinity

Pharmacokinetic - CL/F (Ozanimod)
14 days

Apparent oral clearance

Pharmacokinetic - Vz/F (Ozanimod)
14 days

Apparent volume of distribution during terminal phase after oral administration

Pharmacokinetic - t1/2 (Ozanimod, CC112273 and CC1084037)
14 days

Terminal elimination half-life

Pharmacokinetic - AUClast (CC112273 and CC1084037)
14 days

Area under the concentration-time curve from time 0 to time of last quantifiable concentration

Pharmacokinetic - AUC0-14d (CC112273 and CC1084037)
14 days

Area under the concentration-time curve from time 0 to 14 days postdose

Pharmacokinetic - Cmax
Up to approximately 15 days

Maximum observed plasma concentration

Pharmacokinetic - AUC∞
Up to approximately 15 days

Area under the concentration-time curve from time 0 to infinity

Pharmacokinetic - AUClast
Up to approximately 15 days

Area under the concentration-time curve from time 0 to time of last quantifiable concentration

Cardiovascular analysis
Days 29 and 30

Day 30 maximum time-matched change from Day 29 in systolic blood pressure (SBP)

Pharmacokinetics- Cmax
Up to 14 days after ozanimod dosing

Maximum observed plasma concentration

Pharmacokinetics- AUC∞
Up to 14 days after ozanimod dosing

Area under the concentration-time curve from time 0 to infinity

Pharmacokinetics- AUC0-14d
Up to 14 days after ozanimod dosing

Area under the concentration-time curve from time 0 to 14 days post dose

Secondary Endpoints
Proportion of participants who did not have a confirmed relapse
At 12 and 24 months
Number of gadolinium enhancing (GdE) T1 lesions
At month 6 and month 12
Number of new or newly enlarging hyperintense lesions on T2 magnetic resonance imaging (MRI) sequences
At 6, 12, 18, and 24 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
OzanimodEXPERIMENTAL -
FingolimodACTIVE_COMPARATOR -
0.46 mg ozanimod oral capsule once daily (QD)EXPERIMENTALIt will be a 7-day dose escalation regimen in the IP consisting of 4 days of treatment with 0.23 mg ozanimod, followed by 3 days of treatment with 0.46 mg ozanimod, followed by 0.46 mg ozanimod.
0.92 mg ozanimod oral capsule QDEXPERIMENTALIt will be a 7-day dose escalation regimen in the IP consisting of 4 days of treatment with 0.23 mg ozanimod, followed by 3 days of treatment with 0.46 mg ozanimod, followed by 0.92 mg ozanimod.
Placebo oral capsule QDPLACEBO_COMPARATORIt will be a 7-day dose escalation regimen in the IP consisting of 4 days of treatment with a placebo capsule, followed by 3 days of treatment with two placebo capsules, followed by two placebo capsules.
Administration of oral OzanimodEXPERIMENTAL -
Administration of PlaceboPLACEBO_COMPARATOR -
Interferon beta-1aACTIVE_COMPARATORParticipants received 30 µg interferon beta-1a by intramuscular (IM) injection weekly and matching placebo capsules (identical in physical appearance to ozanimod) orally once a day until the last participant had been treated for 12 months.
Ozanimod 0.5 mgEXPERIMENTALParticipants received ozanimod 0.5 mg capsules orally once a day and an intramuscular placebo injection (identical in appearance to Interferon) weekly until the last participant had been treated for 12 months.
Ozanimod 1 mgEXPERIMENTALParticipants received ozanimod 1 mg capsules orally once a day and an intramuscular placebo injection (identical in appearance to Interferon) weekly until the last participant had been treated for 12 months.
Ozanimod1 mgEXPERIMENTALOzanimod 1 mg oral capsules daily and a weekly intramuscular placebo injection (identical in appearance to Interferon) for 24 months.
Interferon β-1aACTIVE_COMPARATORinterferon beta-1a (IFN β-1a) 30 µg intramuscular (IM) injection weekly and matching placebo capsules (identical in physical appearance to ozanimod) orally daily for 24 months.
Ozanimod High DoseEXPERIMENTAL -
Ozanimod Low DoseEXPERIMENTAL -
PlaceboPLACEBO_COMPARATORIdentically matching placebo capsules daily for 32 weeks followed by an optional open label treatment period.
Ozanimod in subjects with mild hepatic impairmentEXPERIMENTALParticipants will receive ozanimod 0.23 mg once daily (QD) on Days 1 to 4, 0.46 mg QD on Days 5 to 7, and 0.92 mg QD on Day 8 in subjects with mild hepatic impairment
Ozanimod in subjects with moderate hepatic impairmentEXPERIMENTALParticipants will receive ozanimod 0.23 mg once daily (QD) on Days 1 to 4, 0.46 mg QD on Days 5 to 7, and 0.92 mg QD on Day 8 in subjects with moderate hepatic impairment
Ozanimod in healthy subjectsEXPERIMENTALParticipants will receive ozanimod 0.23 mg once daily (QD) on Days 1 to 4, 0.46 mg QD on Days 5 to 7, and 0.92 mg QD on Day 8 in healthy subjects
Group A (reference): Current ozanimod capsule formulationEXPERIMENTALSingle oral dose of ozanimod 0.92 mg
Group B (test): Ozanimod granule formulationEXPERIMENTALSingle oral dose of ozanimod 0.92 mg using Sprinkle capsule. Ozanimod Sprinkle Capsule will be opened, and the entire contents sprinkled onto a teaspoon (5 mL) of applesauce.
Ozanimod 0.46mgEXPERIMENTALOzanimod single doses of 0.46 mg (1 x 0.46 mg capsule) will be administered on Day 1. Ozanimod will be administered following an overnight fast of at least 10 hours before dosing and with approximately 240 mL of nonrefrigerated, noncarbonated water (additional water may be allowed if required for the subject to complete dosing). Subjects will remain fasted for 4 hours after ozanimod dosing.
Ozanimod 0.92mgEXPERIMENTALOzanimod single doses of 0.92 mg (1 x 0.92-mg capsule) will be administered on Day 1. Ozanimod will be administered following an overnight fast of at least 10 hours before dosing and with approximately 240 mL of nonrefrigerated, noncarbonated water (additional water may be allowed if required for the subject to complete dosing). Subjects will remain fasted for 4 hours after ozanimod dosing.
Treatment Group A - OzanimodEXPERIMENTALSubjects will receive a single oral dose of ozanimod 0.46 mg
Treatment Group B - Ozanimod plus CyclosporineEXPERIMENTALSubjects will receive a single oral dose of ozanimod 0.46 mg plus a single oral dose of cyclosporine 600 mg
ozanimod plus PseudophedrineEXPERIMENTALozanimod once daily (QD) for 30 days. On Day 30, a single dose of pseudoephedrine 60mg will be co-administered with ozanimod.
ozanimod placebo plus PseudoephedrinePLACEBO_COMPARATORozanimod placebo once daily (QD) for 30 days. On Day 30, a single dose of pseudoephedrine 60mg will be co-administered with ozanimod placebo.
Treatment Group A - Ozanimod 0.46mgEXPERIMENTALA single dose of ozanimod 0.46 mg on Day 1
Treatment Group B - Ozanimod plus GemfibrozilEXPERIMENTALGemfibrozil 600 mg twice daily (BID) on Days 1 through 17. On Day 4, a single dose of ozanimod 0.46 mg will be coadministered with the morning dose of gemfibrozil.
Treatment Group C - Ozanimod 0.92mgEXPERIMENTALA single dose of ozanimod 0.92 mg on Day 1.
Treatment Group D - Ozanimod plus ItraconazoleEXPERIMENTALItraconazole 200 mg once daily (QD) on Days 1 through 17. On Day 4, a single dose of ozanimod 0.92 mg will be co-administered with itraconazole.
Treatment Group E - Ozanimod plus RifampinEXPERIMENTALRifampin 600 mg QD on Days 1 through 21. On Day 8, a single dose of ozanimod 0.92 mg will be coadministered with rifampin
Interventions
NameTypeDescription
OzanimodDRUGSpecified dose on specified days
FingolimodDRUGSpecified dose on specified days
PlaceboOTHERSpecified dose on specified days
Interferon beta-1aDRUGAdministered by intramuscular injection once a week
Placebo to ozanimodDRUGMatching placebo capsules administered orally once a day
Placebo to interferon beta-1aDRUGPlacebo intramuscular injection once a week
Ozanimod placeboDRUGOral capsule, daily for 24 months
Interferon beta-1a placeboDRUGIntramuscular injection, weekly for 24 months
CyclosporineDRUGCyclosporine
PseudoephedrineDRUGPseudoephedrine
GemfibrozilDRUGGemfibrozil
ItraconazoleDRUGItraconazole
RifampinDRUGRifampin
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Eligibility Criteria
Age Range10 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * Has a diagnosis of multiple sclerosis (MS) as defined by the 2017 revision of the McDonald Criteria with a relapsing remitting course of disease. * Meets at least 1 of the following criteria for disease activity: i) At least 1 MS relapse/attack in the previous year prior to...

Countries:United StatesAustraliaItalyMexicoPolandPortugalPuerto RicoRomaniaSpainTaiwanTurkey (Türkiye)JapanAustriaBulgariaCanadaChinaColombiaFinlandFranceGeorgiaGermanyGreeceHong KongHungaryIsraelLithuaniaNetherlandsRussiaSenegalSerbiaSlovakiaSloveniaSouth AfricaSouth KoreaSwedenUkraineBelarusBosnia and HerzegovinaCroatiaCzechiaEstoniaLatviaMoldovaNew ZealandUnited KingdomBelgium
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Recent Changes (Last 90 Days)
MEDIUMJun 11, 2026NCT05076175primaryCompletionDate: changed
MEDIUMJun 11, 2026NCT05076175primaryCompletionDate: changed
LOWMay 28, 2026NCT05076175lastUpdatePostDate: changed
LOWMay 28, 2026NCT05076175lastUpdatePostDate: changed
LOWMay 26, 2026NCT06408259primaryCompletionDate: changed
LOWMay 26, 2026NCT05076175primaryCompletionDate: changed
LOWMay 24, 2026NCT06408259studyFirstPostDate: changed
LOWMay 24, 2026NCT05076175studyFirstPostDate: changed